DR. KENDALL MADDEN M.D.
NPI 1013302066
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Q: What is Kendall Madden's NPI number?

The NPI number for Kendall Madden is 1013302066. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Q: What is Kendall Madden's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kendall Madden was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2015PECOS Enrolled

3569 ROUND BARN CIR STE 200, SANTA ROSA, CA 95403(707) 583-8800 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kendall Madden M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENDALL MADDEN M.D. (NPI 1013302066) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013302066

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. KENDALL MADDENCredential: M.D.

Location Address3569 ROUND BARN CIR STE 200Santa Rosa, CA 95403-5784

Mailing Address3569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5784 · (707) 583-8800

Phone(707) 583-8800

Sole ProprietorNo

Enumeration DateApril 6, 2015

Last NPPES UpdateJanuary 25, 2022

✔ NPI 1013302066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3569 ROUND BARN CIR STE 200, Santa Rosa, CA 95403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kendall Madden M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN MARIE BEARDSWORTH MD

Family Medicine